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DATE (MM/DD/YYYY) <br />ACORDrM CERTIFICATE OF LIABILITY INSURANCE 4/1/2009 1 4/1/2008 <br />PRODUCER Lockton Companies, LLC-L Los Angeles <br />19800 MacArthur Blvd., Suite 550 <br />License #OF15767 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />H. THISCA <br />ALLTLER DETHE COVERAGECATE AFFORDED BYDOESOTHE PPO IAMENDC ES BELOW <br />Irvine CA 92612 <br />949-252-4400 <br />INSURERS AFFORDING COVERAGE NAIC # <br />INSURED P&D Consultants, Inc. (CA) <br />1075642 Attn: Karen Pooler <br />999 Town & Country Road, 4th Floor <br />Orange CA 92888 <br />A G �- - 0 7/ <br />A <br />INSURER A : New Hampshire Insurance Company <br />23841 <br />INSURER B : Insurance Company of the State of PA <br />19429 <br />INSURER c <br />INSURER D <br />INSURER E : <br />COVERAGES AECTE01 OE <br />THE POLICIES OF INSURANCE LISTED BELUW HAvt eirrrl wain-u Iv mC ��w., .�., ..• ,•.� - -- • -•- <br />DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR <br />ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER <br />HEREIN IS SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH <br />MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED <br />POLICIES. AGGREGATE LIMITS SHOWN MAY- HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSR ADD'L POLICY EFFECTIVE POLICY EXPIRATION <br />TYPE OF INSURANCE POLICY NUMBER DATE (MM/DD/YY) DATE (MM/DD/YY) <br />LIMITS <br />LTR INSRD <br />EACH OCCURRENCE <br />$ X.XX-XXXX <br />GENERAL LIABILITY <br />DAMAGE TO RENTED <br />$ XXXXXXX <br />COMMERCIAL GENERAL LIABILITY <br />PREMISES Ea occurence <br />MED EXP (Any one person) <br />$ XXXXXXX <br />CLAIMS MADE OCCUR NOT APPLICABLE <br />PERSONAL & ADV INJURY <br />$ XXXXXXX <br />GENERAL AGGREGATE <br />$ XXXXXXX <br />PRODUCTS - COMP/OP AGG <br />$ XY�X <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />PRO - <br />POLICY JECT LOC <br />AUTOMOBILE <br />LIABILITY <br />COMBINED SINGLE LIMIT <br />$ XXXXXXX <br />(Ea accident) <br />ANY AUTO <br />ALL OWNED AUTOS <br />BODILY INJURY <br />$ XXXXXXX <br />(Per person) <br />SCHEDULED AUTOS <br />NOT APPLICABLE <br />HIRED AUTOS <br />BODILY INJURY <br />$ XXXXXXX <br />(Per accident) <br />NON -OWNED AUTOS <br />- <br />PROPERTY DAMAGE <br />$ XXXXXXX <br />(Per accident) <br />AUTO ONLY - EA ACCIDENT <br />$ XXXXXXX <br />GARAGE LIABILITY <br />NOT APPLICABLE <br />OTHER THAN EA ACC <br />$ XXXXXXX <br />ANY AUTO <br />AUTO ONLY: AGG <br />$ XXXXXXX <br />EACH OCCURRENCE <br />$ XXXXXXX <br />EXCESSIUMBRELLA LIABILITY <br />AGGREGATE <br />$ XXXXXXX <br />OCCUR � CLAIMS MADE <br />NOT APPLICABLE <br />$ XXXXXXX <br />0-1 UMBRELLA <br />$ XXXXXXX <br />DEDUCTIBLE FORM <br />$ VXXXXXX <br />RETENTION $ <br />---------�---.-.----.._.._------ <br />WC1929178 (AOS) <br />.. __.�.r <br />4/1/2008 <br />4/1/2009 <br />WCSTATU- OTH- <br />X TOR LIMITS ER <br />A <br />A <br />WORKERS COMPENSATION AND <br />EMPLOYERS' LIABILITY <br />WC1929179 (CA) <br />4/l/2008 <br />4/l/2009 <br />E.L. EACH ACCIDENT <br />$ 1,000,000 <br />E.L. DISEASE - EA EMPLOYEE <br />1 000 000 <br />$ > > <br />A <br />ANY PROPRIETOR/PARTNER/EXECUTIVE <br />OFFICER/MEMBER EXCLUDED? <br />WC1929181 (FL) <br />4/1/2008 <br />4/1/2009 <br />E.L. DISEASE -POLICY LIMIT <br />$ 1,000, 000 <br />If yes. <br />No <br />WC1929182 (OR) <br />4/1/2008 <br />4/1/2009 <br />A <br />PROVISIONS <br />SPECIAL PROVISIONS below <br />SPECIAL <br />A OTHER WC1929184(OHWA,WI,WV,WY 4/l/2008 4/l/2009 <br />Statutory Limits - See Above <br />B Worker's Compensation WC1929183 TXj 4/l/2008 4/1/2009 <br />WC1929180 MA) 4/1/2008 4/l/2009 <br />OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS <br />rDEZ-1RIPTON <br />b: Environmental Consulting Services <br />T! � <br />-Il•A I C nvw�.� <br />2829870 <br />City of Santa Ana <br />City Attorney <br />20 Civic Center Plaza (M-29) <br />P.O. Box 1988 <br />Santa Ana, CA 92702-1988 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br />DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN <br />NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL <br />IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR <br />AUTHORIZED <br />.._ _ -�:--_,:�__._ ___._....._ .......we, r.-.en �.. m,. •a.,,d,,.�or se ion above and s cifv the rli cod AECTEor. c ACORD CORPORATION 1988 <br />